VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Serkalem Nirayo
4209 Main Street
Alexandria, VA 22309
(703) 901-5052

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date: March 19, 2024

Complaint Related: No

Areas Reviewed:

8VAC20-800 Administration 8VAC20-800 Personnel 8VAC20-800 Household Members 8VAC20-800 Physical Health of Caregivers and Household Members 8VAC20-800 Caregiver Training 8VAC20-800 Physical Equipment and Environment 8VAC20-800 Care of Children 8VAC20-800 Preventing the Spread of Disease 8VAC20-800 Medication Administration 8VAC20-800 Emergencies 8VAC20-800 Nutrition 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 54.1 Provider must be MAT certified to administer prescription medication.

Comments:

An unannounced monitoring inspection was conducted on 3/19/2024 at 3:59pm to 5:20pm. There were 5 children (12 points) directly supervised by 1 caregiver(s). The home, 1 caregiver record, 3 child's records, 3 household member's records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely outside and inside the play room. There was an abundant supply of books, toys, and materials for the children. The home was clean and organized. Areas of non-compliance are identified in this report. If you have any questions regarding this inspection, please contact the Licensing Inspector, Keesha Minor: (keesha.minor@doe.virginia.gov) (571)596-3660.

Violations:

Standard #:	8VAC20-800-760-A-1
Description:	Based on observation, the provider did not ensure that the first aid kit contained the minimum required items. Evidence: observed that the first aid kit was missing a second triangular bandage.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-770
Description:	Based on observation, the provider did not ensure that she had a working portable battery-operated weather band radio. Evidence: observed that the provider could not get the portable batter-operated weather band radio to function during the licensing inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-830-A
Description:	Based on review, the provider did not ensure that emergency evacuation procedures are practiced monthly. Evidence: reviewed the provider's emergency evacuation drill log and found that there was no drill practiced in February 2024.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-830-B
Description:	Based on review, the provider did not ensure that shelter-in-place procedures were practiced a minimum of twice per year. Evidence: reviewed the shelter-in-place drill log and found that the last documented drill was conducted within the past 12 months.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-830-C
Description:	Based on review, the provider did not ensure that emergency evacuation and shelter-in-place drills were documented with the required minimum information. Evidence: reviewed the provider's drill log and found that they did not include: 1) time it took to complete the drill, 2) number of children participating, 3) number of caregivers participating, method of notification, 4) any problems encountered, and 5) weather.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-B
Description:	Based on review, the provider did not ensure that they maintained children's records with the required minimum information. Evidence: reviewed 3 children's records and found that: 1) child 2 and 3 did not have documentation of an address for either of their emergency contacts, 2) child 2 did not have documentation of medical insurance and a policy number, 3) child 2 and 3 did not have documentation of limited liability declaration or emergency preparedness plan reviewed by the parents.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-170-A
Description:	Based on review, the provider did not ensure that they obtained from each adult household member a current report of tuberculosis screening. Evidence: reviewed the provider's records and found that household member 1 did not have documentation of a TB screening.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-320-B
Description:	Based on observation, the provider did not ensure that child-resistant protective covers were installed on al unused electrical outlets. Evidence: observed 1 uncovered electrical outlet, accessible to children in the bathroom.
Plan of Correction:	Not available online. Contact Inspector for more information.